A one-year analysis of penetrating abdominal and chest injuries
DOI:
https://doi.org/10.18203/2349-2902.isj20260459Keywords:
Penetrating injuries, Chest, AbdomenAbstract
Background: The increasing incidence of penetrating injuries, often linked to rising societal pressures and aggression, presents a significant public health and clinical challenge, contributing substantially to morbidity and mortality.
Methods: This was a retrospective cohort study conducted at K. R. Hospital, involving 83 adult patients (age >18 years) who presented with penetrating injuries to the chest or abdomen between 01 January 2024 and 31 December 2024. Data collected included demographics, injury details, surgical procedures, ICU admission, and mortality. Injury severity was classified using anatomical and physiological scores, including the abbreviated injury scale (AIS), injury severity score (ISS), new injury severity score (NISS), and revised trauma score (RTS).
Results: A total of 83 patients with penetrating wounds presented, with 25 requiring admission. The mean age was 32.6 years, and the cohort was predominantly male (male: female ratio of 24:1), with 80.8% of admitted patients under 45 years old. Fourteen patients required surgical intervention, and 35.6% were admitted to the intensive care unit (ICU). The overall 30-day and in-hospital mortality rate was 4.1% (3 deaths). Fatalities were associated with severe injuries, including multiple injuries (ISS 17 and 75) and a severe isolated abdominal injury (ISS 25).
Conclusions: Penetrating injuries disproportionately affect young adult males and are associated with a significant mortality rate of 4.1%. The findings underscore the need for effective violence prevention strategies, rapid trauma assessment, and specialized surgical care to improve outcomes in patients presenting with severe, often multi-regional, penetrating wounds.
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References
World Health Organization (WHO). Global status report on road safety. 2023. Available at: https://www.who.int/teams/social-determinants-of-health/safety-and-mobility/global-status-report-on-road-safety-2023. Accessed on 06 November 2025.
Patel RB. Rapid Urbanization and the Growing Threat of Violence and Conflict: A 21st Century Crisis. Prehospital Disaster Med. 2025;27(2):177-82. DOI: https://doi.org/10.1017/S1049023X12000568
World Health Organization (WHO). Knife-related interpersonal violence as an urgent public health concern. 2025. Available at: https://iris.who.int/ items/43ccd667-34a0-46bf-af59-ffd579329594.
Eckert S, Dold S, Sinner FP, Lichte P, Zech C, Joch S. Stab Wounds at a Maximal-Care Trauma Center: Incidence from 2015 to 2024. Curr Issues Mol Biol. 2024;46(5).
Ellaban MM, Afifi E, El Houssinie M, Hirshon JM, El-Shinawi M, El-Setouhy M. Epidemiology of Knife Injuries at Ain Shams University Hospital Emergency Department from 2018 to 2019: A Cross-Sectional Study. Open Access Emerg Med. 2021;13:561-7. DOI: https://doi.org/10.2147/OAEM.S338245
Johannesdottir U, Jonsdottir GM, Johannesdottir BK, Heimisdottir AA, Eythorsson E, Gudbjartsson T, et al. Penetrating stab injuries in Iceland: a whole-nation study on incidence and outcome in patients hospitalized for penetrating stab injuries. Scand J Trauma Resusc Emerg Med. 2019;27(1):7. DOI: https://doi.org/10.1186/s13049-018-0582-2
Nagao T, Toida C, Morimura N. Incidence, demographics and outcomes of patients with penetrating injury: a Japanese nationwide 10-year retrospective study. BMJ Open. 2023;13(10):e071873. DOI: https://doi.org/10.1136/bmjopen-2023-071873
Dijkink S, Krijnen P, Hage A, Van der Wilden GM, Kasotakis G, Hartog DD, et al. Differences in Characteristics and Outcome of Patients with Penetrating Injuries in the USA and the Netherlands: A Multi-institutional Comparison. World J Surg. 2018;42(11):3608-15. DOI: https://doi.org/10.1007/s00268-018-4669-8
Roth BJ, Velmahos GC, Oder DB, Vassiliu P, Tatevossian R, Demetriades D, et al. Penetrating trauma in patients older than 55 years: a case-control study. Injury. 2001;32(7):551-4. DOI: https://doi.org/10.1016/S0020-1383(01)00079-1
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